Goldberg/Kelly automatic payment continuation governs the following types of reopenings
and revisions:
-
•
Failure to follow prescribed treatment; and
-
For information on the cases where the Disability Determination Services (DDS) sends
a predetermination due process notice, see Policy – Due Process for Adverse Reopenings
DI 27525.001C.
See Also:
-
•
DI 27525.010 Providing Due Process in Adverse Reopenings Involving Title XVI and Concurrent Title
II/Title XVI Cases.
-
•
DI 28075.005 Failure to Cooperate (FTC) During a Medical Continuing Disability Review (CDR)
-
•
DI 28075.007 Whereabouts Unknown (WU) During a Medical Continuing Disability Review (CDR
NOTE: Goldberg/Kelly procedures do not apply to Title XVI whereabouts unknown cases because
WU (S06) is considered an administrative suspension and does not result in a loss
of eligibility.